Individual provider Active NPI

Craig B. Danshaw, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
National Provider Identifier
1568409944
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J1223 Issued in TX
Practice address
5801 Oakbend TRL Ste 230
Fort Worth, TX 76132
Phone
(817) 370-4721
Fax
(817) 370-4941
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J1223 TX Primary

Addresses

Primary practice location

5801 Oakbend TRL Ste 230
Fort Worth, TX 76132

Mailing address

4100 International PLZ Ste 600
Fort Worth, TX 76109-4823
Phone (817) 529-2658

Other identifiers 1

IdentifierTypeStateIssuer
135599206MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000061 TX Practitioner - Anesthesiology 6204875222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 International PLZ
Suite 600
Fort Worth, TX 76109-4823
Phone (817) 334-0530

5801 Oakbend TRL
Suite 230
Fort Worth, TX 76132-3916
Phone (817) 717-3721

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Anesthesiology, PA Pain Medicine CurrentSince Jul 21, 1992 Accepting new patients

Locations

5801 Oakbend Trl
Ste 230
Fort Worth, TX 76132
Phone (817) 370-4721

4100 International Plz
Ste 600
Ft Worth, TX 76109
Phone (817) 468-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1568409944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094823",
            "telephone_number": "817-529-2658",
            "fax_number": "817-334-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-370-4721",
            "fax_number": "817-370-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSHAW",
        "first_name": "CRAIG",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J1223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135599206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.